摘要
目的 :提高严重烧伤患者血气变化的认识 ,探讨其酸碱平衡紊乱的类型变化及发展规律。方法 :对 84例严重烧伤患者不同时期的 472例次动脉血气测定值和电解质测定数据 ,结合临床进行分析。结果 :84例患者均有不同程度类型的酸碱平衡紊乱和低氧血症。 472例次血气分析中 ,单纯性酸碱平衡紊乱 2 1 8例次 (46 2 % ) ,二重酸碱平衡紊乱 1 78例次 (37 7% ) ,三重酸碱平衡紊乱 76例次 (1 6 1 % )。其中单发或伴发呼吸性碱中毒 (呼碱 ) 2 36例次 ,呼吸性酸中毒 (呼酸 ) 1 32例次 ,代谢性酸中毒 (代酸 ) 31 1例次 ,代谢性碱中毒 (代碱 ) 1 2 3例次。 84例中死亡 1 6例、病死率 1 9 1 %。结论 :严重烧伤患者均有不同程度和类型的酸碱平衡紊乱和低氧血症 ,随着病情进展可出现二重或三重酸碱平衡紊乱 ,严重影响后续治疗。
Objective: To investigate the law of the development of acid base balance disturbance of severely burned patients. Method: Clinical data of 472 samples from 84 patients with severe burn were analyzed. Results: 84 patients all had acid base balance disturbance of different types and hypoxemia. 218 out of 472 (46.2%) samples had simple acid base balance disturbance, 178 of them (37.7%) had double acid base balance disturbance and 76 (16.1%) had triple acid base balance disturbance. 16 cases died, death rate was 19.1%. Conclusion: Severely burned patients all have acid base balance disturbance and hypoxemia, as the cases become more serious, double and triple acid base balance disturbance may occur.
出处
《中国烧伤创疡杂志》
2002年第2期89-91,共3页
The Chinese Journal of Burns Wounds & Surface Ulcers
关键词
烧伤
血气变化
酸碱平衡紊乱
Severe burn
Blood gas change
Acid base balance disturbance
